UnitedHealthcare

DO NOT GET UHC!!! They say on their faxback and portal someone is in network but they are not!!! Now we have to tell a patient they owe tons more money!!

If I could leave a ZERO rating I would! DATE ACTIVITY & STATUS 5/9/2023 Lava crown replacement with core build-up and pins; Cost=$1325; pt. Paid $630 or 50% of costs to dentist 5/25/2023 Initial claim filed by Bridgeview Dental 6/18/2023 Letter received by patient advising UHC denied entire claim 6/19/2023 Patient called Bridgeview; billing department resubmit all documentation 7/24/2023 Bridgeview Dental called patient to advise they have filed an appeal for denied claim today 7/31/2023 Patient called Bridgeview; “appeal on denied claim for DOS 5/9/23 is in process” 8/15/2023 Patient called UHC Dental Customer Care & was transferred 2 (two) times; spent 34 minutes on the phone to be advised that UHC Dental has not received an appeal to date for DOS 5/9/2023 from Bridgeview Dental 8/16/2023 Patient called Bridgeview Dental and advised Robin that UHC Dental is denying that they have ever received the appeal filed on 7/24/2023 9/7/2023 Patient spoke with Bridgeview Dental billing representative Robin who had spent time consulting with UHC Dental on the status of the appeal for DOS 5/9/2023 and she will follow up with UHC in 2 weeks 10/16/2023 Patient called UHC Dental; REFERENCE # E16012086; on hold for 18:30 as the customer service personnel “investigated” the status of the appeal for DOS 5/9/2023. They were unable to find any appeal or give me a status update. On call for 31 minutes and was disconnected by Customer Service. 10/16/2023 Patient called Bridgeview Dental to advise of unknown status on appeal. They will follow up with UHC Dental. They also have obtained reference numbers for submitted appeals and for submitted documentation that they have uploaded multiple times. 01/04/2024 Patient spent 48 minutes on the phone with UHC Dental representative CHRIS who advised that the claim for DOS 5/9/2023 is “still pending”. Chris is going to contact Bridgeview Dental as UHC Dental has not yet received documentation via their electronic transfer system: NEA ELECTRONIC TRANSFER REFERENCE #304 09 3009 Must specify that the crown was done to address “cracked tooth syndrome” Chris advised she would contact M. Iddings within 3 business days with an update on the pending claim and obtaining the required documentation from Bridgeview Dental. Patient went to Bridgeview Dental Office and was present when Robin (billing representative) confirmed with UHC Dental that they had successfully received via their electronic transfer system all required documentation. REFERENCE # documented by dental office. Due to time of delay in UHC processing this appeal, patient paid the outstanding balance due on the 5/9/2023 claim for $542.30 01/18/2024 TC to UHC Dental; was disconnected TC to UHC Dental again; spoke with Rachel and advised her of the history of claim for DOS 5/9/2023. After being put on hold 2X for Rachel to “investigate the claim”, Rachel advised me that the status of the claim is “still waiting for the dental provider to submit an X-ray image”. Advised of UHC Reference # which confirmed receipt of all required documentation on 1/4/2024 and the fact that I was in the office when Bridgeview Dental received the reference number. 26:03 minutes on call 01/19/2024 TC from Rachel who advised she has been unable to reach anyone at Bridgeview Dental Office due to “weather event” in Portland, OR this past week. She will continue to try and reach them and update me ASAP. 02/06/2024 Time spent on calls to UHC Dental today: 1:33 (one hour + 33 minutes) TC to UHC Dental; spoke with Juna regarding I have had 10 contacts with UHC dental since 5/25/2023; appeal filed 7/24/2023; advised concerns that no response from UHC Dental after 8/15, 10/16/2023 calls and then subsequent calls on 1/4/2024 (with Chris) and 01/18/2024 (with Rachel). Requested I be transferred to a supervisor who could address these issues today. Transferred to Julie F who is a Medicare Appeals Advocate! I then advised that I had been an employee of UnitedHealthcare, I have COBRA coverage for UHC Dental and I reviewed the history of the claims problems for my husband. Julie has no access to any data confirming that I have coverage. Julie attempted to call the 1-800 UHC dental number for customer service and NO ANSWER! 41 minutes into the call, Julie called the UHC Dental Customer Service number and requested to speak to a Claims Supervisor. At 59:24 minutes into the call, I was transferred to Adam. Adam put me on hold to look into my appeal and advised that there were no X-rays nor any documentation in my files. I advised him that my dental office had submitted the x-rays and narratives multiple times and had confirmation numbers to verify the successful uploading of the files. Adam called Bridgeview Dental and will have the dentist email files directly to him. REFERENCE # 48392785 Adam confirmed he has received the X Rays and a complete dental narrative on the crown. 02/08/2024 TC from Adam, UHC Dental Supervisor confirming all necessary clinical documentation has been received and forward to the dental clinical team for review. Adam will call me by 2/12/2024 for a status update. 3 minute call. 02/12/2024 NO CALL from UHC Dental 02/15/2024 Received letter denying payment of claim

I am writing as a dental office insurance coordinator and a providers office for UHC. This is the most unprofessional, disorganized company that we have ever delt with. In October of 2022, we noticed that several of our claims had not been paid. After contacting multiple times and doing my own research, UHC had been sending our claims to a totally different address. We were told after numerous calls with representatives all over the world, this was corrected. It was not! We get same run around everytime we call and have to repeat the situation to every representative we speak with , even after providing them with previous reference numbers. We also spoke with a Senior Advisor , that assured us it was being corrected and they see the issue after doing an audit from their end on our office/claims. For the past several days, we have been receiving electronic payments (EOB's) that are not even our patients. The EOB's have our dentist name and a totally different NPI. Once again we did our own research and located the dentist under the wrong NPI on our claims, She was in California, our office is in Alabama. They are also not getting paid on several of their claims. We have several thousand dollars of completed dental claims that we have still not received payment from UHC. We have called multiple times, sent emails, letters and still not resolved. When we ask for supervisor to contact us or to speak with them, we get placed on hold and then disconnected. We resubmit the claims that have not been paid on , they send back to us and say duplicate claim payment and never pay it. These are not duplicates, if they would check to see if payment has cleared, they would know that it has not. They were sent to wrong address. We have been at this address for over 10 years, the address UHC is mailing payments to is a residential address. We do not know how many UHC representatives we have to speak with to get this issue resolved, in keeps getting worse. We will not be recredentialing with UHC ever again , we see why no other dental office near us are providers for UHC. While typing this review, I just had the owner of the residence in which our claims have been randomly sent to since october of 2022 bring in another correspondence from UHC today, and this is fixed?? I will be filing a complaint with the insurance commissioners office. I would not recommend ever taking this insurance with UHC or any dental office being a provider of service for them . UHC is horrible, and never resolve issues.

STEER CLEAR OF UNITED HEALTHCARE DENTAL I haven't felt this violated since my bank account was hacked by a faux helpdesk. United Healthcare does nice work but United Healthcare DENTAL appears to be a total scam, from being referred to an 'in network' list of dentists that is, in my area at least, ALL THE DENTISTS IN YOUR AREA ... to insurance guidance from UHC Dental on how to handle out of network reimbursement; only to find everything you were told is untrue. They told me not to worry about my dental discount plan interfering with my UHC Dental plan. Today ... weeks after I paid for and received dental services ... I was told one voids the other. Now they say they're 'reimbursing my dentist' who I've already paid. 'And he will pay me?' No dentist I know waits weeks or months for payment. And the work I had done was a broken tooth with an exposed nerve. This is a total CF. I don't know if I'll ever see that money. I hope someone initiates a class action lawsuit.

UHC Advantage PPO dental plan is awful..

Takes 2 hours for an advocate to answer the phone. I wanted to pay my bill and register but after talking to them I think it’s best for me to go somewhere els. Need to hire more people to answer the phones and more knowledgeable people. Booo

Bait and Switch Dental Plans. They state "Fillings covered at 80%" but it's only some fillings. It gets worse from there.

Not happy what so ever. Premiums were $900 per month and didn't cover even preventative health care.